Provider Demographics
NPI:1073271821
Name:HOME COMPANION SERVICES
Entity Type:Organization
Organization Name:HOME COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-262-0072
Mailing Address - Street 1:25311 147TH DR # B
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2823
Mailing Address - Country:US
Mailing Address - Phone:516-262-0072
Mailing Address - Fax:516-548-5229
Practice Address - Street 1:25311 147TH DR # B
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2823
Practice Address - Country:US
Practice Address - Phone:516-262-0072
Practice Address - Fax:516-548-5229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child